Organization
KINTNER CHIROPRACTIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY H KINTNER R.N., D.C. (OWNER)
(802) 899-5400
Entity
Organization
Contact information
Practice address
397 VT ROUTE 15, JERICHO, VT 05465-2044
(802) 899-5400
Mailing address
PO BOX 63, UNDERHILL, VT 05489-0063
(802) 899-5400
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
06834
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00009924
BCBSVT PROVIDER
VT
01
—
00028821
BCBSVT GROUP
VT
Enumeration date
02/28/2007
Last updated
12/03/2007
Update your record
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